So very sorry and angry about this verdict!!!! My heart goes out to this Family, as I can imagine all the pain and suffering they are enduring! My 43 yr. old brother is no longer able to work in any capacity and dying due to Botox paralyzing his swallowing musculature after third round of injections to treat muscle spasms in his neck 4/4/10, at which time he weighed 164 lbs.. His weight today 8/4/10 is 122 lbs.. He is 6’2 and father of two. NO ONE at Kaiser Permanente has or will take responsibility and we have had to fight for and ARRANGE ALL follow up care. After x-rays taken days after injections revealed lung aspiration and pneumonia he was sent home. 2 days later I took him to ER suffering extreme dehydration and malnutriton. He went code blue, in front of his children, while waiting for someone to install a feeding tube and lived in intensive care on a ventilator for 11 days! The Neuro who administered the injections admits to me that the only knowledge of the many life threatening events since 4/4/10 he got was from ME, because I contacted him by phone on three occasions! HE should have been following up closely and taken charge of my brothers care! This Doctor also admits my brother was only the second head and neck patient he had administered Botox to. At the time of the last injections on 4/4/10 this Doctor attempted to also inject steroids into my brothers neck. The needle broke in his neck and sprayed steroids and blood, very chaotic reaction from the Doctor who ran from the room cursing to get clean up supplies! Each time we ask if the effects of the Botox will wear off we are told 2 weeks, 2 months, 4 months…. this is now the 5th month and there are NO signs of improvement! I asked the Neuro if the effects could be cumulative/permanent? He admitted it was possible. He NEVER told us that before. Co-payments for visits, procedures and medication incurred since 4/4/10 are several hundreds of dollars, and my brother has lost his 7 year employment with the School District, His health insurance, all quality of life, and most of his will to live. That’s ALOT for a young man, Father of two, who has been living with and financially supporting our 69 year old Mother who is stage 4 Breast Cancer that has spread to her lungs and liver! They now face foreclosure on their modest manufactured home.